社会人口学因素预测从多学科裂诊所的长期消耗
Connor S Wagner1, Sarah L Barnett1, Dominic Romeo1
1Divsion of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Pennsylvania, PA.
概括
患有唇裂的患者在长期随访中经历了较高的磨损率. 种族,保险和离诊所的距离等因素显著影响患者在多学科护理中的保留.
科学领域:
- 头骨面部医学 头骨面部医学
- 儿科医疗保健的结果
- 卫生公平研究 卫生公平研究
背景情况:
- 长度随访对于口唇裂患者至关重要.
- 了解影响患者留守的因素对于优化护理至关重要.
- 多学科裂诊所为这些复杂的疾病提供了全面的管理.
研究的目的:
- 识别和描述与患者保留和消耗相关的因素.
- 分析损失的预测因素,以便在多学科裂诊所进行后续检查.
- 为改善患者长期参与裂护理的策略提供信息.
主要方法:
- 追溯队列研究的设计.
- 包括1995年至2007年间出生的患有口唇裂和/或裂的患者.
- 分析最后一次预约时的年龄和消耗,定义为15岁后没有预约.
主要成果:
- 与白人患者相比,在黑人和其他种族群体中观察到更高的磨损率.
- 与私人保险患者相比,公共保险患者的消耗率增加.
- 到诊所的更长的驾驶距离与更高的随访损失显著相关.
结论:
- 在口唇裂和 palatal 患者群体中存在显著的后续消耗.
- 种族,保险状况和地理距离是影响患者消耗的关键因素.
- 解决这些差异对于确保持续护理和改善裂患者的治疗结果至关重要.
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